| NPI | 1285041186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD A MILLWALA President 773-732-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OH 023877) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |